Kelly Ann McCracken Musselman, PT, DPT, LAT, ATC
NPI 1104489996ActiveIndividual· Physical Therapist· Woodinville, WA
Physical Therapist (PT, DPT, LAT, ATC) with Lake Washington Physical Therapy LLC and 1 other group, practicing in Woodinville, Washington. Medicare paid $13,757 for services to 16 patients in 2024.
Overview
| NPI | 1104489996 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Apr 17, 2019 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 611 across 6 procedure codes |
| Paid by Medicare | $13,757 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Lake Washington Physical Therapy LLCSeattle, WA · 56 clinicians
- 520 Physical Therapy, LLCBellevue, WA · 7 clinicians
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All 38 physical therapists in Woodinville · All physical therapists in Washington